Individual provider Active NPI

Whitney Bryce Machado-Ching Knowles, RDH, EPDH

  • Dental Hygienist
  • Heppner, OR
National Provider Identifier
1982988069
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
H5635 Issued in OR
Practice address
143 N Main St
Heppner, OR 97836-5001
Phone
(541) 676-9118
Fax
(541) 676-9904
NPI assigned
Oct 6, 2011
Last updated
Mar 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X H5635 OR Primary

Addresses

Primary practice location

143 N Main St
Heppner, OR 97836-5001

Mailing address

PO Box 248
Heppner, OR 97836-0248
Phone (541) 676-9118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
H5635ORMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Hayden Family Dentistry Group Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1982988069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "HEPPNER",
            "state": "OR",
            "postal_code": "978360248",
            "telephone_number": "541-676-9118",
            "fax_number": "541-676-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 N MAIN ST",
            "city": "HEPPNER",
            "state": "OR",
            "postal_code": "978365001",
            "telephone_number": "541-676-9118",
            "fax_number": "541-676-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "WHITNEY",
        "middle_name": "BRYCE MACHADO-CHING",
        "name_prefix": "Mrs.",
        "credential": "RDH, EPDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H5635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heppner, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.